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iiv <br /> li <br /> ,i <br /> Subcontractors present and number of emploYees Cor each: i <br /> Subcontractor namNumhcrresente d <br /> 1 it <br /> .i <br /> 2. i <br /> 3. !i <br /> i <br /> Comments: <br /> i. <br /> �i <br /> i; <br /> ii <br /> Send the completed checklist to CHSO.Sacramento offic . Place a copy in the project <br /> file_ <br /> it <br /> Reviewed by CHSO: Date !� <br /> Signature <br /> it <br /> :I <br /> YES NO <br /> Is follow-up with site safety office required? <br /> - a <br /> i <br /> i <br /> . f <br /> Items: <br /> ij <br /> Date follow-up completed: <br /> �� April 19S8 <br />